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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493895
Report Date: 08/06/2021
Date Signed: 08/06/2021 02:52:51 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:UNTITLED NO.1 SCHOOLFACILITY NUMBER:
197493895
ADMINISTRATOR:TASLIMI, LAILAFACILITY TYPE:
850
ADDRESS:2953 DELAWARE AVENUETELEPHONE:
(310) 701-1195
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:20CENSUS: 7DATE:
08/06/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Laila Taslimi, LicenseeTIME COMPLETED:
03:00 PM
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On 8/6/2021, Licensing Program Analyst Lisa Clayton arrived for an Unannounced Annual Inspection, and was greeted by Macrina Garcia Lopez. Present for this visit was licensee Laila Taslimi, and the following fingerprint cleared staff: Erika Membreno, Lilian Hernandez, Macrina Garcia Lopez, and Amber Blackman. LPA observed 7 children in care. The facility is in ratio and is in compliant with the capacity of the license today.

This is a full day program. The ages served are 3 years – entry to 1st grade. The hours of operation are from 7:30 AM – 6:00PM (Monday through Friday).

The day care center and playground were toured to conduct a Health and Safety Inspection. The facility is a converted residential, single story dwelling.
The day care center consists of 3 rooms, a kitchen, bathroom (with 2 toilets and 2 sinks) for the children, and 2 patio areas, all which appear to be safe, clean, and in good repair. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands. The staff restroom is located in the director’s office/teacher’s lounge. LPA observed an isolation cot located inside the staff restroom. The lighting is adequate and the home has heating and ventilation for comfort. There is adequate storage for children's belongings. There is adequate furniture, toys and activities, which are age appropriate and in good condition. There is drinking water readily available to children. LPA Clayton did not observe any equipment that is prohibited. There is age appropriate napping equipment available. There are no pools, spas, hot tubs, or free-standing water on the property. The food preparation area is clean, free from hazards and adequately equipped. The menu is posted in a visible location and is dated at least one week in advance. The playground structure appears to be maintained and in safe condition, and free from hazards, with sufficient cushioning underneath to absorb a fall. LPA did not observe any dangerous items accessible today, including medications, poisons, disinfectants or cleaning supplies, that could be dangerous to children in care. All solid waste containers have tight fitting covers and appear to be in good repair. According to the licensee, measures are taken to keep the facility free from flies, other insects, or rodents.

All required documents are visible and posted for public review. The center is in compliance with the sign in and out procedure and uses the Brightwheel app. The center is equipped with a fully stocked first aid kit, working carbon monoxide detector, working smoke detector, working telephone, 2 pull down fire alarms, and a 4A10BC fire extinguisher. Disaster drills are being conducted at least once every 6 months, and the log indicates the last one done was in May of 2021. LPA observed the interaction between the staff and children in care and did not observe any child left without visual supervision or unattended. Per licensee, there are no firearms on the premises.

see LIC 809C
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: UNTITLED NO.1 SCHOOL
FACILITY NUMBER: 197493895
VISIT DATE: 08/06/2021
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The center roster was reviewed, and copy obtained. 3 Children's files were reviewed and found to be complete and current. 3 staff files were reviewed and all are complete and current. All staff have been fingerprinted and associated to this facility, and have proof of immunization against influenza, pertussis, and measles, or provided a statement declining the influenza vaccination. At least 2 opening/closing staff members have current CPR/First Aid certificate.

IMS Servises are not being provided at this time. Licensee advised to contact the Regional Office if/when the services are to be provided.
When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

California Law requires Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail.

Licensee is reminded that ALL Staff must be fingerprint cleared prior to being in the presence of children in care, or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

There are no deficiencies cited. The facility is in compliance today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC809 (FAS) - (06/04)
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